Atypical Head and Neck Tuberculosis. Is Biopsy the Key to Solve the Riddle?
Dimosthenis IGOUMENAKIS, Anastasios SAKELLARIOU, Giannoulis PIAGKOS, Constantinos MOUROUZIS, Michael MEZITIS, George RALLIS
Department of Oral and Maxillofacial Surgery, General Hospital “KAT” Athens, Greece (Consultant in charge: G. Rallis)
Hellenic Archives of Oral & Maxillofacial Surgery (2013) 2, 75-83
SUMMARY: Aim: The presentation of a series of cases with atypical head and neck tuberculosis that were characterized by diagnostic difficulties. Patients and Methods: Retrospective study of the files of four patients with head and neck tuberculosis was conducted. Results: In order to verify clinical suspicion of tuberculosis, the following tests were undertaken in all cases: tuberculin skin test, Ziehl-Neelsen stain, cultures for mycobacteria and biopsy. These were combined with imaging studies. Biopsy turned out to be the only method, which invariably led to a definitive diagnosis. Conclusions: When there is suspicion for head and neck tuberculosis, biopsy is a valuable diagnostic procedure.
KEY WORDS: Extrapulmonary tuberculosis, submandibular swelling, fistula, histopathological examination.
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